Covid cases on the rise in Arlington as flu, RSV remain active

Don’t look now, but Covid cases are on the rise again in Arlington.

Daily case averages are still well below the levels seen earlier in the year, but the trajectory is upward, Virginia Dept. of Health data shows. As of Wednesday, the seven-day case average in Arlington was 57 cases per day, high highest point since September.

That follows national trends of rising Covid cases.

According to CDC data, Arlington County’s weekly case rate per 100,000 people is 154, while the weekly Covid hospital admission rate is 7.7 per 100,000 people. The threshold between the CDC’s “low” and “medium” Covid levels is 200 cases and 10 admissions.

Just in time for the rise in cases, the federal government today is restarting its free Covid tests by mail program. The tests can be ordered here.

VDH, meanwhile, announced yesterday that bivalent booster shots are now available to all children six months of age and older in Virginia.

From a press release:

Parents of young children in Virginia are now able to seek a free bivalent pediatric COVID-19 vaccine for their children aged six months and older, the Virginia Department of Health (VDH) announced today, following the recommendation of the vaccines by the Centers for Disease Control and Prevention (CDC) on December 9.

The Pfizer-BioNTech bivalent vaccine, previously available only to persons aged five years and older, is now available for children aged six months through four years as a third primary series dose. At this time, children aged 6 months through four years who received three doses of Pfizer-BioNTech vaccine to complete their primary series are not authorized to receive a booster dose of bivalent vaccine. The Moderna bivalent vaccine, previously available for persons aged six years and older, is now available for children aged six months through five years as a booster dose at least two months after completion of a Moderna primary series.

Both bivalent vaccines target the original strain of the SARS-CoV-2 virus that first emerged in Wuhan, China in late 2019 and the BA.4 and BA.5 subvariants of the Omicron variant that emerged in the United States in November 2021.

VDH advises parents to discuss this option with their child’s healthcare provider. Vaccination opportunities may be found at Vaccinate.Virginia.gov.

Virginia Hospital Center emergency department chair Dr. Mike Silverman, in his weekly public Facebook post, encouraged parents to consider the bivalent booster for their kids. He also noted that flu and RSV are are still prevalent in the community amid a particularly active fall for respiratory illnesses.

Within VHC, the number of patients we have hospitalized with COVID is similar to last week (and higher than last month). The emergency department remains quite busy. November was among our highest volume months ever, for the most part attributed to Flu and RSV cases. Among our COVID population, we saw another week over week increase in the number of patients testing positive in our “symptomatic” population with a higher percent positive rate than the previous week. That number is 3-4 fold higher than in early November. Among all our testing, we had about twice as many positives as just a few weeks ago.

The CDC reports that “there have been at least 8.7 million illnesses, 78,000 hospitalizations, and 4,500 deaths from flu so far this season,” making this the worst flu season in a decade. Although the number of patients we’re seeing with the flu has declined a bit over the past month, there’s still a lot of flu in the community and I highly recommend getting your flu shot. And fortunately, the flu vaccine this year appears to be a “good match” for the circulating strains, meaning the vaccine works better than average this year.

The FDA approved the bivalent booster for those 6 months to 5 years old. This booster can serve as the 3rd shot after the primary two shot series is complete. This will go to the CDC for review and should be available soon. Please talk to you pediatrician about vaccination. I continue to see a lot of young children that are not vaccinated.